Challenging The ASD Diagnosis

Postby davidbanner99@ » Thu Sep 09, 2021 9:06 pm

This is going very well, so far. Judging by the source material I have, to date, I believe it will be possible to reveal significant flaws in the ASD approach to autism. My position is the decision to attempt to diagnose high-functioning autism as a "spectrum disorder" will leave many people undiagnosed.

Firstly, autism as a "spectrum" was, in clinical terms, discredited as far back as the 1920s. The concept was introduced by a German anthropologist called Kretschmer. What you need to notice is the actual term "autism spectrum" wasn't used by Kretschmer, but the theory was exactly the same. Note here, Kretschmer describes opposite traits of one autistic pathology, used to diagnose all the possible variations:

"Gemütsruhig = quiet, meek and withdrawn.
Gemütskalt = cold, selfish, avoiding other people.
Gemütstumpf = morally insensitive - Stumpf überempfündlich = excessive emotion."

This is exactly what the ASD diagnostic system does. Two people who demonstrate contrasting characteristics, are said to "be on the spectrum". They get diagnosed with ASD but, to my mind, this is a huge step backwards. It relies upon a discredited system, rejected by leading European authorities decades ago.

The term "spectrum" naturally arose from the Schizoid Group of disorders. This application was pretty much the same as ASD and described the same thing. It's major flaw turned out to be vagueness, lack of definition and a general application outside the sphere of clinical psychology. In a series of essays, Prof G Suhareva outlines why the spectrum system failed to define the pathology she had researched.

Not only that but Wing and Goulde in the 1980s seened to view the spectrum concept as applied to a whole range of categories of disorders. Here she writes:

"There is no question that Asperger Syndrome can be regarded as a form of Schizoid Personality. The question is whether this grouping is of any value."

To me this suggests maybe Wing spoke of a "spectrum" of Schizoid Groups Of Disorder, of which Asperger Syndrome was one. Possibly she never figured psychiatrists years later would apply the concept of spectrum so deeply, it would disable her diagnosis altogether.

Add to this, Wing seems to have missed quite a few things. Here she writes:

"Furthemore, the word 'schizoid' was originally chosen to underline the relationship of the abnormal personality to Schizophrenia......There is not firm evidence of a special link between this syndrome and Schizophrenia." (Lorna Wing)

Yet here below, we see this evidence had been collected by German genetics researchers:

"The Schizoid Psychopathic Group has a certain relationship to Schizophrenia. This is supported by the following: Firstly, hereditary-biological data that indicates a large number of schizoid psychopaths within schizophrenic families. Secondly, similarities between the pre-psychotic personality of schizophrenics and schizoid psychopaths." (Prof G Suhareva)

Nobody ever questioned the ASD diagnosis so far as I know. It was simply accepted at face value. Going back a few years, something felt somehow wrong. I now believe ASD is a deeply flawed diagnostic approach to what was once Asperger Syndrome and HFA.
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#1

Postby davidbanner99@ » Thu Sep 09, 2021 9:23 pm

In very simple terms, in the 2000 era especially, psychologists weren't connecting the symptoms together. They would ignore core symptoms as if being opposite on a spectrum. Yet, in all the scores of patient files I looked at, these core symptoms must be mostly present. Even the obsessive interests have a meaning since they tend to be developed OCD. What starts as repetitive behaviour develops into some huge interest in chemistry or bone-collecting.
I think in the 1990s Asperger diagnosis was very often accurate. It was very thorough. Years later, there seems to have been less trained practitioners and I figure standards dropped. To my mind the ASD approach is a step backwards.
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#2

Postby davidbanner99@ » Sat Sep 11, 2021 7:42 pm

My essay is almost finished. I took pains to make it very clear. It will demonstrate from historic source material that Asperger Syndrome and Schizoid Personality Disorder are one and the same. I use multiple source quotes.
It will demonstrate that when Wing and Goulde first announced the new diagnosis of Asperger Syndrome in the 1980s, they somehow missed the imput of Sula Wolff (a bilingual psychologist). Wolff was fluent in Russian and provided the only translation of some of the texts I've researched.
I hope to show too the spectrum approach had been rejected by most of the elite psychologists of the era. It was thought to be of value in social psychology but not in the clinical sense.
For now the essays will be on my blog. It may take months till it stirs any interest. Ironically the source materials I used were written at times of war and social upheaval. Asperger himself was barely noticed till the 1980s. Even in the USSR Asperger was just "another researcher who had an opinion and modus operandi."
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